Which is better for plantar fasciitis: shockwave therapy or cortisone injections?

Both are effective but work differently and have different risk profiles. Shockwave therapy stimulates long-term tissue healing and is preferred for chronic (>6 months) plantar fasciitis — it has fewer risks than injections. Cortisone injections provide faster short-term relief but carry risks of plantar fascia rupture and fat pad atrophy with repeated use. Balance Foot & Ankle discusses the best option for each patient's timeline and history. Call (810) 206-1402.

Can shockwave therapy treat plantar fibromas?

Shockwave therapy has shown benefit for plantar fibromas, helping to break down fibrous tissue and reduce nodule size and pain. It is a non-surgical option worth considering before excision. Balance Foot & Ankle at 4330 E Grand River, Howell and 43494 Woodward Ave #208, Bloomfield Hills offers shockwave therapy as part of our plantar fibroma management program.

How many shockwave therapy sessions are needed for plantar fasciitis?

Most patients receive 3–5 weekly shockwave sessions for plantar fasciitis. Many notice improvement after the third session, with continued improvement over 8–12 weeks as the treated tissue heals. Balance Foot & Ankle creates individualized shockwave therapy protocols based on symptom chronicity and severity. Call (810) 206-1402.

How many cortisone injections are safe for plantar fasciitis?

Generally, no more than 2–3 cortisone injections are recommended for plantar fasciitis due to cumulative risks of plantar fascia rupture and heel fat pad atrophy. Balance Foot & Ankle uses injections judiciously and combines them with other treatments to address the underlying biomechanical cause.

Is shockwave therapy painful?

Shockwave therapy causes moderate discomfort during the 5–10 minute treatment session, described by most patients as a tolerable tapping sensation. Post-treatment soreness for 24–48 hours is normal. Balance Foot & Ankle at (810) 206-1402 uses appropriate energy settings to maximize effectiveness while minimizing patient discomfort during shockwave treatments.

✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Shockwave Therapy vs. Injection [Plantar Fasciitis & Plantar Fibroma]

Shockwave Therapy vs. Injection [Plantar Fasciitis & Plantar Fibroma] 🦶We review extracorporeal shockwave therapy for plantar fasciitis, plantar fibroma, Achilles tendonitis pain. We compare this to a corticosteroid injection for plantar fasciitis and plantar fibroma pain. Full Video: https://youtu.be/BGOYlhI49xY🦶 Full Video: https://youtu.be/BGOYlhI49xY Plantar fibroma treatment: https://youtu.be/BGOYlhI49xY Full Plantar Fasciitis Video: https://youtu.be/2aXlnFVmIY8 Full Video: https://youtu.be/cbfQh-wjxOE Heel Spur: https://youtu.be/2rrt4xkeBiQ Related Videos: Numbness, Burning, or Tingling Foot Pain: https://youtu.be/Pdp9HLH9Gsg Fat Pad Loss: https://youtu.be/54O-B2XqJaY Heel Nerve Pain: https://youtu.be/1ZqubXExmc4 Plantar Fasciitis: https://youtu.be/2aXlnFVmIY8 Heel Stress Fracture: https://youtu.be/GesHK7hBpJA Tarsal Tunnel: https://youtu.be/DoqjV9VR5tA Ankle strengthening full video: https://youtu.be/ZI0sANYDF6M Peroneal Tendonitis Treatment: https://youtu.be/bre6SmVm108 Posterior tibial tendonitis treatment: https://youtu.be/bkiRUlAfnZo Achilles tendonitis treatment: https://youtu.be/Y1sMEi7LNuA Anterior Tibial Tendonitis Treatment: https://youtu.be/55TGq-O8W_4 Best Arthritis Treatments: https://youtu.be/5M7ngir46yQ Best anti inflammatory diet for arthritis and joint pain: https://youtu.be/gCjN1Rya6es Best Supplements for joint pain and arthritis: https://youtu.be/8CVHgrf-FLQ Stiff big toe joint: https://youtu.be/nfyY_8n5B8s Plantar fasciitis treatment: https://youtu.be/2aXlnFVmIY8 👉 Shoes 👈 Best Shoes:

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Podiatrist Recommended Orthotics

Best Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢Come See Us in Detroit, Michigan, Berkley Michigan; Bloomfield Hills, Michigan, Lansing Michigan; and Grand Blanc Michigan📢 If you are in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/. https://g.page/r/CaxJ9b-O6o27EAE Orthotics: Best Overall Orthotic: https://geni.us/PowerStepOrthotics (Amazon) Best Heavy Duty Orthotic: https://geni.us/HeavyDutyOrthotics (Amazon) Best Women’s Orthotic: https://geni.us/BestWomensOrthotic (Amazon) Best sub $25 Soft Orthotic: https://geni.us/BudgetSoftOrthotic (Amazon) Best sub $25 Budget Orthotic: https://geni.us/BudgetOrthotic (Amazon) Pain Relief: Best Compression Sleeves: https://geni.us/PlantarFasciitisSock (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) Best Muscle Massage Stick: https://geni.us/MuscleStick (Amazon) Exercises & Stretches: Best Ankle Stretch Incline Board: https://geni.us/z7bq (Amazon) Best Budget Stretching Device: https://geni.us/BudgetFasciitisStretch (Amazon) Compression socks & Compression stockings: Note: Start Light & always check with your podiatrist if you have a medical condition. Best 8-15 mmHg budget compression stockings: https://geni.us/NmvRw Best 20-30 mmHg compression stocking: https://geni.us/bqasGh (Amazon) Massage Device: Our Favorite Calf Compression Device https://geni.us/sLJDN Our Favorite Full Leg Compression Device https://geni.us/htyFl Massage Gun: Note: This is for sore, tight muscles, not to dissolve spurs. Bob and Brad D6 Pro Massage Gun (My #:1 Choice) https://geni.us/ouFhWtI (10% OFF Code: BOBANDBRADD6) Bob and Brad C2 Massage Gun (Great Travel): https://geni.us/BFKF (10% OFF Code: BOBBRADG10 or TIMPT104 or bobbradfall) Bob and Brad 721 Foot Massager: https://geni.us/2RKyA7 (10% OFF Code: BobBrad2022) Best Ankle Pain Braces: Best Overall Ankle Stability Brace: https://geni.us/GreatBrace (Amazon) Best Overall Compression Ankle Brace: https://geni.us/GreatCompressionBrace (Amazon) Best Budget Ankle Stability Brace: https://geni.us/AnkleStability (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) DISCLAIMER: Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.

At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Hills office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.

Related Treatment Guides

Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Hills is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.

Medical References & Sources

Insurance Accepted

BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →

Howell Office

3980 E Grand River Ave, Suite 140

Howell, MI 48843

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Bloomfield Hills Office

43700 Woodward Ave, Suite 207

Bloomfield Hills, MI 48302

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Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402

More Podiatrist-Recommended Plantar Fasciitis Essentials

Best Night Splint

Alphabrace Plantar Fasciitis Night Splint Heel & Foot Pain (Medium)

Plantar fascitis night splint brace heel and foot pain size: Medium
Medium , men 8 10 1/2 , women 7 1/2 10
Designed to comfortably position the foot
Low profile shell is sturdy and breathable

Keeps fascia stretched overnight — the #1 intervention for morning heel pain.

Top Podiatrist-Recommended Insole

PowerStep Pinnacle Insoles, Orthotics for Plantar Fasciitis Relief, Made in USA Orthotic Insoles, Arch Support Inserts with Moderate Pronation, #1 Podiatrist Recommended (M 14-15)

The Pinnacle Full length insoles for men & women provide maximum cushioning, from high activity to moderate support. The PowerStep arch support shape provides stability to the foot and ankle, helping to relieve foot pain.
When you spend all day on your feet, every step counts. PowerStep insoles are a podiatrist-recommended orthotic to help relieve & prevent foot pain related to athletes, runners, Plantar Fasciitis, heel spurs & other common foot, ankle & knee injuries
The Pinnacle plantar fasciitis insoles offer superior heel cushioning and arch support. The dual-layer cushioning is designed to reduce stress and fatigue, while PowerStep premium arch support is designed for plantar fasciitis relief.
The PowerStep Pinnacle arch support inserts for men & women can be worn in a variety of shoe types such as; athletic, walking, running, work & some casual shoes. Orthotic Inserts are ordered by shoe size, no trimming required.
Made in the USA & backed by a 30-day money-back guarantee. PowerStep orthotic inserts for men & women are designed for shoes where the factory insole can be removed. HSA & FSA Eligible

Deep heel cup + arch support unloads the plantar fascia all day.

Plantar Fasciitis Compression Sock

OS1st FS4 Plantar Fasciitis No Show Socks relieves plantar fasciitis, heel/arch pain and improves circulation

Provides continuous support of the Plantar Fascia by gently stretching the fascia tissue.
Compression zones promote circulation, reduce impact vibration, boost recovery and strengthen feet.
Lightweight, seamless design with extra cushioning provides support while still being comfortable.
Supports the heel/arch and overall foot structure while stabilizing the tendon for better performance
Made from high quality materials, the socks are moisture wicking and breathable.

Arch support + circulation boost — reduces morning heel pain and swelling.

As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

Shockwave Therapy 2 - Balance Foot & Ankle

When to See a Podiatrist

If morning heel pain has persisted more than 6 weeks, home care alone rarely fixes it. At Balance Foot & Ankle, we combine in-office ultrasound diagnostics, custom orthotics, and — when needed — shockwave or PRP to resolve plantar fasciitis that hasn’t responded to stretching and inserts. Most patients are walking pain-free within 4-8 weeks of starting a structured plan.

Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills

In-Office Treatment at Balance Foot & Ankle

When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including EPAT Shockwave Therapy Michigan at our Howell and Bloomfield Hills clinics.

Same-day appointments available. Call (810) 206-1402 or book online.

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.

Recommended Products for Plantar Fasciitis

Products personally used and recommended by Dr. Tom Biernacki, DPM. All available on Amazon.

Dr. Tom's PickPowerStep Pinnacle Insoles

The insole we prescribe most often for plantar fasciitis. Medical-grade arch support with dual-layer cushioning.

Best for: All shoe types, daily support

Pain ReliefDoctor Hoy's Natural Pain Relief Gel

Natural arnica and menthol formula for plantar fascia inflammation.

Best for: Morning pain, post-exercise

RecoveryDASS Medical Compression Socks

20-30mmHg graduated compression for fascia recovery.

Best for: Night wear, recovery days

These products work best with professional treatment. Book an appointment with Dr. Tom for a personalized treatment plan.

Complete Recovery Protocol

Dr. Tom's Plantar Fasciitis Recovery Kit

Our three-product protocol for plantar fasciitis relief between appointments.

PowerStep Pinnacle Insoles

Daily arch support

~$35

Doctor Hoy's Pain Relief Gel

Anti-inflammatory topical

~$18

DASS Compression Socks 20-30mmHg

Overnight recovery

~$25

Kit Total: ~$78 $120+ for comparable products

All available on Amazon with free Prime shipping

Frequently Asked Questions

What is the fastest way to cure plantar fasciitis?

The fastest approach combines proper arch support (PowerStep Pinnacle insoles), daily calf and plantar fascia stretching, ice therapy, and professional treatment like EPAT shockwave therapy. Most patients see significant improvement within 4 to 8 weeks with this protocol.

Is plantar fasciitis covered by insurance?

Yes. Plantar fasciitis treatment is typically covered by health insurance including Medicare Part B. Custom orthotics may require prior authorization. Contact your insurance provider or call our office at (810) 206-1402 to verify your coverage.

Can plantar fasciitis go away on its own?

Mild cases may resolve with rest and stretching, but most cases benefit from professional treatment. Without treatment, plantar fasciitis can become chronic and lead to compensatory injuries in the knees, hips, and back.